https://ijmsphr.com/index.php/ijmsphr <p><strong>Edition-2024</strong></p> <p><strong>CrossRef DOI: 10.37547/ijmsphr</strong></p> <p><strong>Last Submission:- 25th of Every Month</strong></p> <p><strong>Frequency: 12 Issues per Year (Monthly)</strong></p> <p><strong>Submission Id: editor@ijmsphr.com</strong></p> John Mike en-US International Journal of Medical Science and Public Health Research 2767-3774 https://ijmsphr.com/index.php/ijmsphr/article/view/238 <p>Antenatal care (ANC) remains one of the most critical pillars of maternal and child health, serving as a primary preventive and promotive intervention to reduce adverse birth outcomes and maternal mortality. Despite global progress in improving maternal health indicators, delayed initiation, irregular attendance, and suboptimal quality of antenatal care persist across low- and middle-income countries, particularly in Sub-Saharan Africa and parts of South and Southeast Asia. This research article provides a comprehensive, theory-driven synthesis and original analytical interpretation of existing empirical evidence on antenatal care utilization, maternal knowledge of pregnancy danger signs, socio-demographic determinants, and their relationship with adverse birth outcomes. Drawing strictly on the provided references, this study integrates findings from cross-sectional studies, systematic reviews, meta-analyses, demographic health surveys, and institutional health profiles to construct a multilayered explanatory framework. The article explores how structural factors such as food security, health system accessibility, urban–rural disparities, and policy environments interact with individual-level determinants including maternal education, pregnancy intention, spousal support, and exposure to mass media. Furthermore, it examines the mediating role of maternal knowledge, early risk detection, and continuity of care in shaping maternal and neonatal outcomes. By moving beyond descriptive summaries, this paper elaborates on causal pathways, theoretical implications, contextual variations, and countervailing explanations. The findings underscore that antenatal care utilization is not merely a behavioral choice but a socially embedded practice shaped by intersecting economic, cultural, informational, and institutional forces. The article concludes with a critical discussion of methodological limitations in existing studies and proposes future research and policy directions aimed at strengthening equitable, timely, and effective antenatal care systems.</p> Dr. Amanuel Bekele Tesfahun Copyright (c) 2026 Dr. Amanuel Bekele Tesfahun https://creativecommons.org/licenses/by/4.0 2026-01-01 2026-01-01 7 01 1 6